Medicaid Wage Proposal Could Prompt HCBS Operators To Exit Market, Discourage New Providers From Entering

The U.S. Centers for Medicare & Medicaid Services (CMS) recently published two proposed rules that have major implications for home-based care providers. The provision that has created the greatest waves among providers and industry stakeholders is the potential requirement that at least 80% of Medicaid payments for personal care, homemaker and home health aide services […]

New CMS Data Hints At Big Savings Under National HHVBP Model, Possible ‘Volatility’ In Home Health Market

The Home Health Value-Based Purchasing (HHVBP) model continues to save hundreds of millions of dollars each year, mostly because of its ability to reduce inpatient stays for Medicare beneficiaries. The model, which the U.S. Centers for Medicare & Medicaid Services (CMS) expanded from nine demonstration states to home health agencies across the country on Jan. […]

Home Health Ownership Transparency May Help Buyers Identify Targets More Easily, But Questions About Accuracy Remain

Last month, the U.S. Department of Health and Human Services (HHS) announced that — for the first time ever — it was releasing ownership data for all Medicare-certified home health and hospice agencies. This move makes it possible for anyone to review information on the ownership of agencies participating in the Medicare program. This includes […]

The Public Health Emergency’s End Will Mark ‘Significant’ Change For Home Health Providers

Now that the public health emergency (PHE) is ending, home health stakeholders are taking stock of what ripple effects will impact the industry most. The Trump Administration first declared the PHE in March of 2020, retroactive to Jan. 27, 2020. In January, the Biden administration announced that the PHE would end on May 11. Broadly, […]

Home-Based Care Providers Wait For Word From CMS As White House Lifts Vaccine Requirements

The Biden administration announced on Monday that COVID-19 vaccine requirements in place for federal employees and contractors will come to an end on May 11. For home-based care providers working under Medicare and Medicaid, this is seemingly the end of COVID-19 vaccine mandates for staff. The Biden administration citied a 95% decline in COVID-19 deaths, […]

CMS Medicaid Proposals Offer Transparency And Accountability, But Compensation Provision Could Cap Business For Cash-Strapped Providers

On Thursday, the U.S. Centers for Medicare & Medicaid Services (CMS) proposed a new rule that would make major changes to the way that home care workers are compensated under Medicaid. While home-based care stakeholders recognize that the proposal could lead to some improvements, many are critical of what they view as a one-size-fits-all approach […]